EXL
EXL
EXL este o companie de consultanță și servicii pentru afaceri care ajută organizațiile să utilizeze datele, analizele și tehnologia pentru a-și îmbunătăți operațiunile și a lua decizii mai bune. Activitatea sa include managementul operațiunilor, analiza decizională și transformarea digitală, având experiență în sprijinirea clienților din domeniul sănătății, al asigurărilor, al finanțelor și al logisticii. EXL combină știința datelor cu expertiza practică în afaceri pentru a dezvolta soluții adaptate obiectivelor, modelului operațional și contextului sectorial al fiecărei organizații.

Lead Assistant Manager, Medical Coding Auditor – Chennai Hybrid

Lead surgical coding audits at EXL in Chennai, supporting DRG accuracy, compliance, and payment integrity. Guide a medical coding team while improving audit quality, productivity, and performance.

Descriere

  • Manage medical coding specialists who perform accurate, timely audits across multiple specialties
  • Coach, train, and mentor coding team members
  • Coordinate coding workflows, assign priorities, and maintain productivity and quality standards
  • Share updates on coding guidelines, payer policies, and relevant industry developments
  • Perform recurring audits and quality reviews to verify coding accuracy, compliance, and documentation standards
  • Partner with analytics, repricing, quality, and compliance teams
  • Track key performance indicators and create initiatives to improve results
  • Use payment integrity processes to uncover claim and documentation errors and support maximum revenue capture
  • Act as the subject matter expert for multi-specialty surgery coding and payment integrity

Cerințe

  • Bachelor’s degree in clinical, healthcare information management, or a related discipline
  • Mandatory professional certification such as CPC, CIC, or CCS for DRG coding
  • Substantial medical coding experience with a focus on DRG coding
  • Advanced knowledge of CPT, ICD-10-CM, and HCPCS coding systems
  • Experience using coding applications and electronic health record systems
  • Strong analytical judgment and problem-solving ability
  • Clear interpersonal and written and verbal communication skills
  • Careful, accuracy-focused approach with a strong commitment to regulatory compliance
  • Ability to work autonomously, organize competing priorities, and deliver under tight deadlines
  • Working knowledge of HIPAA, HITECH, CMS, Medicare, LCDs, NCDs, medical policies, and commercial payer processes and requirements

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